A cross-sectional study of attitudes and behaviors of snuff use and cessation among people with and without HIV in South Africa.

Journal: Tobacco use insights

Volume: 16

Issue: 

Year of Publication: 

Affiliated Institutions:  Department of Environmental and Radiological Health Sciences, Colorado State University, Fort Collins, CO, USA. Perinatal HIV Research Unit, Soweto, South Africa. Department of Internal Medicine, Klerksdorp Tshepong Hospital Complex, Matlosana, South Africa. Department of Epidemiology; Department of Social and Behavioral Sciences, New York University, New York, NY, USA. Department of Infectious Diseases, Johns Hopkins School of Medicine, Baltimore, MD, USA.

Abstract summary 

Despite a high (48%) prevalence of snuff use among women with HIV in South Africa, little is known of the attitudes and behaviors of use, strategies for cessation, and potential health risks.In a cross-sectional study, a questionnaire was administered to adults (≥18 years) with (HIV+) and without HIV (HIV-) who self-reported current snuff use to collect information on demographics, snuff use and cessation attempts, preferred strategies for cessation, other substance use, history of respiratory illness, and mental health.150 (74 HIV+, 76 HIV-) participants were enrolled; 115 (77%) were daily snuff users, 6 (4%) were current smokers, and 17 (11%) former smokers. Top reasons for current snuff use included improving health (n = 48, 32%), reducing stress (n = 26, 16%), and "being a habit" (n = 38, 25%). Participants believed snuff use to have mostly positive (n = 68, 46%) or no (n = 54, 36%) health impacts, and 57 (38%) participants believed snuff cures headaches. 103 (69%) participants reported a previous quit attempt, and 110 (73%) indicated high interest in quitting snuff. Although 105 (70%) participants indicated that advice from a healthcare provider would aid them in quitting snuff, only 30 (20%) reported ever receiving that advice. A majority of participants (n = 141, 94%) suffer from moderate to high levels of perceived stress, and overall few differences were seen by HIV status.Education on negative impacts of snuff, advice to quit from healthcare providers, and nicotine replacement therapy should be considered in the development of a snuff cessation program.

Authors & Co-authors:  Loh Samantha M SM Moloantoa Tumelo T Yende Nompumelelo N Variava Ebrahim E Niaura Raymond R Golub Jonathan E JE Martinson Neil N Elf Jessica L JL

Study Outcome 

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Statistics
Citations :  Sinha DN, Suliankatchi RA, Gupta PC, et al. Global burden of all-cause and cause-specific mortality due to smokeless tobacco use: Systematic review and meta-analysis. Tob Control. 2018;27(1):35-42. doi:10.1136/tobaccocontrol-2016-053302.
Authors :  8
Identifiers
Doi : 1179173X231193890
SSN : 1179-173X
Study Population
Women
Mesh Terms
Other Terms
HIV;smokeless tobacco;snuff;tobacco
Study Design
Cross Sectional Study
Study Approach
Country of Study
South Africa
Publication Country
United States